Department of General Surgery, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.
Pan Afr Med J. 2020 Aug 17;36:290. doi: 10.11604/pamj.2020.36.290.24385. eCollection 2020.
colorectal cancers take third place among cancer-related deaths and 10-28% of these patients are admitted with the necessity of emergency surgical intervention. The main propose of this study was to investigate the factors affecting mortality in ASA 3 colorectal cancer patients who undergo emergency surgery.
between 2010 and 2017 ASA 3 patients who underwent emergency colon cancer surgery were included in the study. All of the study group was evaluated within the first 30-day time-frame. The results were obtained by a statistical comparison of the data of patients with and without mortality.
one hundred and twenty eight patients included in the study. There was no statistical difference in the demographic data of the groups and the indications of the operation. The differences and durations of surgery also did not make any statistical difference. The complication rate was the same according to the Clavien-Dindo classification.
despite the screening programs applied in colorectal cancers, applications to emergency services and procedures performed under emergency conditions are still at high levels. Surgical operations, which have to be performed in patients with impaired metabolic status, carry major risks for patients, but their outcomes are also satisfactory for them.
结直肠癌是癌症相关死亡的第三大原因，其中 10-28%的患者需要紧急手术干预。本研究的主要目的是调查影响 ASA3 结直肠癌患者接受紧急手术死亡率的因素。
在 2010 年至 2017 年间，纳入了接受紧急结肠癌手术的 ASA3 患者。所有研究组患者都在术后 30 天内进行评估。通过对有和无死亡患者的数据进行统计学比较，得出研究结果。
本研究纳入了 128 名患者。两组患者的人口统计学数据和手术指征无统计学差异。手术时间和手术持续时间也没有统计学差异。根据 Clavien-Dindo 分类，并发症发生率相同。
尽管结直肠癌已经开展了筛查项目，但仍有大量患者需要紧急就诊和紧急手术。对于代谢状态受损的患者进行手术会给患者带来重大风险，但手术结果对他们来说也是令人满意的。
